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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> ,PROJECT SITE',INFORMATION <br /> PROJECT ADDRESS:415 RIVERSIDE RD, EVERETT WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: OFFICE <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 18,363.00 <br /> NUMBER OF DEVICES(if low voltage): 15 <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: INSTALLING 11 AVIGILON CAMERAS AROUND OUTSIDE OF BLDG&4 POE SWITCHES <br /> CONTACT INFORMATION <br /> OWNER NAME:ZODIAC NORTHWEST AEROSPACE TECHNOLOGIES INC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 415 RIVERSIDE RD <br /> cI,-,r EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 360-530-1498 OWNER EMAIL: <br /> CONTRACTOR NAME: SECURITY SOLUTIONS NW <br /> CONTRACTOR ADDRESS: STREET 1619 N STATE ST <br /> CITY BELLINGHAM STATE WA ZIP 98225 <br /> CONTRACTOR PHONE: 360-734-4940 CONTRACTOR EMAIL: DUSTINK@SSNW.CO <br /> CONTRACTOR LIC.#(REQUIRED): SECURSN954JG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):045070 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-306-7699 <br /> NATE GRAY CONTACT EMAIL:NATEG@a SSNW.CO <br /> AGREEMENT:l hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# /J <br /> Ilk <br /> , ; / \�jY'v/ 1 U E \ I�uc6- cwt t <br /> V <br /> •wner/Authorize Agent Signature Date (Revised 9/23/2016) <br />